Abstract
Arthroscopic lateral ankle ligament reconstruction has been recently advocated. But this technique has not been popularized because of the technical complexity and potential iatrogenic injury. Because the talocalcaneal and calcaneofibular ligaments are extra-articular structures, how to efficiently view and address them is a difficult task. Limited dissection outside the capsule to form a working space is required, but aggressive dissection is harmful for tissue healing although it is helpful for visualization and instrumentation. Because almost the entire talar body is covered by articular cartilage, it is very difficult to safely make a bone tunnel without damaging the cartilage. The remnants of the lateral ankle ligament have proprioceptive sensors that are important for functional stability, but it is difficult to perform anatomical reconstruction arthroscopically while preserving them because of the narrow working space. Furthermore, how to properly tension the reconstructed ligaments in such a narrow working space is also a very difficult task. We have designed a technique that preserves the remnants of lateral ankle ligaments, and all of the above-mentioned problems have been successfully addressed. We have used this technique clinically, and only minor complications occurred.
| Original language | English (US) |
|---|---|
| Pages (from-to) | e549-e557 |
| Journal | Arthroscopy Techniques |
| Volume | 6 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jun 1 2017 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Orthopedics and Sports Medicine
Cite this
All Arthroscopic Remnant-Preserving Technique to Reconstruct the Lateral Ankle Ligament Complex. / Gui, Jianchao; Jiang, Yiqiu; Li, Yang; Tao, Tianqi; Li, Wang; Zhang, Kaibing; Yao, Wangxiang; Dong, Peilong.
In: Arthroscopy Techniques, Vol. 6, No. 3, 01.06.2017, p. e549-e557.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - All Arthroscopic Remnant-Preserving Technique to Reconstruct the Lateral Ankle Ligament Complex
AU - Gui, Jianchao
AU - Jiang, Yiqiu
AU - Li, Yang
AU - Tao, Tianqi
AU - Li, Wang
AU - Zhang, Kaibing
AU - Yao, Wangxiang
AU - Dong, Peilong
PY - 2017/6/1
Y1 - 2017/6/1
N2 - Arthroscopic lateral ankle ligament reconstruction has been recently advocated. But this technique has not been popularized because of the technical complexity and potential iatrogenic injury. Because the talocalcaneal and calcaneofibular ligaments are extra-articular structures, how to efficiently view and address them is a difficult task. Limited dissection outside the capsule to form a working space is required, but aggressive dissection is harmful for tissue healing although it is helpful for visualization and instrumentation. Because almost the entire talar body is covered by articular cartilage, it is very difficult to safely make a bone tunnel without damaging the cartilage. The remnants of the lateral ankle ligament have proprioceptive sensors that are important for functional stability, but it is difficult to perform anatomical reconstruction arthroscopically while preserving them because of the narrow working space. Furthermore, how to properly tension the reconstructed ligaments in such a narrow working space is also a very difficult task. We have designed a technique that preserves the remnants of lateral ankle ligaments, and all of the above-mentioned problems have been successfully addressed. We have used this technique clinically, and only minor complications occurred.
AB - Arthroscopic lateral ankle ligament reconstruction has been recently advocated. But this technique has not been popularized because of the technical complexity and potential iatrogenic injury. Because the talocalcaneal and calcaneofibular ligaments are extra-articular structures, how to efficiently view and address them is a difficult task. Limited dissection outside the capsule to form a working space is required, but aggressive dissection is harmful for tissue healing although it is helpful for visualization and instrumentation. Because almost the entire talar body is covered by articular cartilage, it is very difficult to safely make a bone tunnel without damaging the cartilage. The remnants of the lateral ankle ligament have proprioceptive sensors that are important for functional stability, but it is difficult to perform anatomical reconstruction arthroscopically while preserving them because of the narrow working space. Furthermore, how to properly tension the reconstructed ligaments in such a narrow working space is also a very difficult task. We have designed a technique that preserves the remnants of lateral ankle ligaments, and all of the above-mentioned problems have been successfully addressed. We have used this technique clinically, and only minor complications occurred.
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UR - http://www.scopus.com/inward/citedby.url?scp=85018403666&partnerID=8YFLogxK
U2 - 10.1016/j.eats.2016.11.013
DO - 10.1016/j.eats.2016.11.013
M3 - Article
AN - SCOPUS:85018403666
VL - 6
SP - e549-e557
JO - Arthroscopy Techniques
JF - Arthroscopy Techniques
SN - 2212-6287
IS - 3
ER -